When we speak about a Hospital Information System, we must be careful in the approach we want to give, as the diversity of fields that are involved is very large and delicate in all cases because all the issues directly or indirectly will be reflected in the care of patients and thus in the efficiency of health systems.
For our case, the first focus will be recording and administrative control of patient care. In this field we specify whether we refer to the area of outpatient, outpatient, emergency, hospital or referenced.
We begin by commenting on the topic of Outpatient of a hospital or medical institution of government involvement identified as the National Institute.
Patient Selection
When a person needs to be addressed for the first time this type of hospital, it is necessary:
- Efficiently inform patients and families
- Schedule patient appointments
- Assess the patient
- Prepare the card first
- Making medical history
These 5 steps before it is diagnosed, the patient through a consultation with a specialist doctor and sometimes supported by a series of laboratory studies and / or imaging. Obtained results and made the assessment can be decided by the following:
- Informing patients
- Evaluating patients
- Making clinical history
- Register the person as a patient at the National Institute, and assigned a file number, conduct a preliminary socioeconomic study to determine the level of recovery fees that will apply to the Institute each which relies on to any type of consultation or service
- Refer the patient to another medical institution, as the presenting symptoms should be treated at another institution
- Return into their home
The socio-economic study is to measure a number of variables of income and financial expenses of patients and people living with it, characteristics of your home and if you have social security services or any other medical institution, this would defines the various fees that may apply, which goes from leave free payment until collect the higher rate, which compared to the cost of other medical institutions will be cheaper.
What do we need to control from the point of Outpatient ?, identifies some points::
- How many patients we serve?
- Most common diseases?
- Ability to care?
- In which specialty?
- Which Doctors delivered the practice?
- Distribution of socioeconomic levels attended?
- Types of medical diagnosis?
- Controlled and uncontrolled drugs prescribed?
- Laboratory studies to be performed for patients?
- X-ray studies or imaging?, And more
Another edge are the times, we mean:
- Patient care
- Punctuality of patients
- The time it reaches the patient consultation and the difference in minutes over the scheduled time to address it
- Difference in minutes between the scheduled time of the consultation regarding the actual time that is received by the Doctor the patient
- Patient care time with the doctor
- Time when the patient retires from the institution
It is interesting to analyze the statistics generated by specialty, clinic or unit which has the institution and the relationship to the overall figures to determine improvements, services, security levels, etc.., depending on the approach the authorities of the Medical Institution give.
From another angle we may ask:
- Gender of patients seen
- Age
- Type of activity they perform
- Type of illness treated
- Recurrence from patients
- Provenance
- Feeding type
- Services available at home, and more
All designed to meet a series of indicators to propose programs, tours, and everything that helps to improve the conditions surrounding the people and thus give them better health opportunities for patients and their families if necessary.
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